Organization
6588 EAST MAIN FARMINGTON LLC
Active
Other names
Sundance Dental of Country Club
Organization subpart
No
Provider details
NPI number
Authorized official
PAM DRAPER (OFFICE MANAGER)
(505) 326-6800
Entity
Organization
Contact information
Practice address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
(505) 326-6820
Mailing address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
(505) 326-6820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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